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Request For Quote Form

Please complete the form below so we can quote your testing needs accurately.

Your Contact Information * Required Information
Name *
Title*
Company *
Address *
City *
State/Prov *
Other *
Zip Code *
Country *
Phone *
Fax *
E-mail *
Company Website *	Http://
Due Date for Quote *
Referred By *

Location		Garwood Pico Rivera
		Garwood San Clemente
Testing Area
Use "CTRL"Key for Multiple Selections

Non-Testing Areas
Use "CTRL"Key for Multiple Selections


Test Item Description
		Size & Dimensions Round to nearest whole number
		Inches or Centimeters
		Length
		Height
		Width
		Diameter (For cylinder objects)
Describe Your Test Item
		Weight Lbs or Kg
		Round to nearest whole number

Power Requirements
Powered		AC or DC
	What is the Voltage level Line to?	Ground or Neutral

Is the Power		Single or Three Phased ?

	What is the current if the power is DC or AC single phase?	Current

	What is the current per phase if the power is three phases?	Current

	What is the frequency if the power is AC?	Frequency


Other Test Requirements * OR Request
To confirm that there is a human sending this quote, please tell us the number of Tents are on our OATS Site in this image.
* Required Information

Your Request is important to us.
If you are not contacted by Stork Garwood through
E-mail or Phone within 24 hours,

Please call our Customer Service Team by phone at:

(888) 427-4111
or
(562) 949-2727

Email Contacts at Stork Garwood

Click on the person you wish to contact via e-mail.

Don Bennett		General Manager
Richard Sanchez		Telecommunication Compliance Manager

Andrew Smith		Regional Sales Manager
Craig T. Hooks		Regional Sales Manager
Jerry Cederstrom		Regional Sales Manager

Heather Bennett		Inside Sales / Customer Support
Customer Service		Customer Service

Becky Meraz		Accounting & HR
Don Moshier		Quality Manager

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RTCA/DO-160
MIL-STD-461
Automotive Compliance
e-Mark
Climatics
Hydraulics
Package Testing
Product Safety
Shock and Vibration
Space Simulation

Request For Quote Form

Your Contact Information

* Required Information

Testing Area

Non-Testing Areas

Test Item Description

Describe Your Test Item

Power Requirements

Other Test Requirements *

OR

Request

To confirm that there is a human sending this quote, please tell us the number of Tents are on our OATS Site in this image.

* Required Information

Email Contacts at Stork Garwood

Describe Your
Test Item

Other

Test Requirements *